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Organization
CHILDREN ADOLESCENT ADULTS NP IN PSYCHIATRY
Active
Organization
CHILDREN ADOLESCENT ADULTS NP IN PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANISSA SALERNO (OWNER OF ENTITY)
(301) 241-6070
Entity
Organization
Contact information
Practice address
3700 ROUTE 44, MILLBROOK, NY 12545-5161
(301) 241-6070
(570) 410-8110
Mailing address
117 EDGEWOOD DR, OLD FORGE, PA 18518-1245
(301) 241-6070
(570) 410-8110
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/15/2024
Last updated
08/01/2024
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